MEDICARE: CARE CULTURE HOME CARE AGENCY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1922943786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CULTURE HOME CARE AGENCY, LLC

Provider Business Mailing Address
First Line	:	4618 GENERAL RD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36619-2009
Country	:	US
Telephone Number	:	251-604-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	4618 GENERAL RD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36619-2009
Country	:	US
Telephone Number	:	251-604-4325
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	QUIANNA TYEISHIA FIELDS
Credential	:
Telephone Number	:	251-604-4325

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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